EFTA00003048.pdf
efta-20251220-dataset-1 Court Filing 484.0 KB • Feb 13, 2026
LSJE,
LLC
6100
Red
[look
Quarters
Suite
B-3
St.
Thomas,
VI
00802
Tel:
ax:
Date:
)4'10/18
Employee
Name:
Deice
Gusneme
Address:
Phone:
le
/
Position
-
..—
L:41.
Z
I
F.mergeocy
Informal
it
Allergies
or
Health
Concerns:
Blood
Type:
Current
Medication:
Emergency
Contact
Form
Start
Date:
Date
of
Birth:!
E
-Mail:
Marital
Status:
Married
License:
Blood
type
not
specified
Doctor's
Name:
Pho►re:
Doctor's
Name:
Phone:
In
case
of
an
Emergency,
Please
contact
:
Relationship
Sister
Phone
Relationship
Phone
This
Information
is
for
your
safety
and
the
safety
of
others
EFTA00003048
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Document Metadata
- Document ID
- 8d663bf2-56e9-47c5-bffc-106e4e2107b2
- Storage Key
- efta-modified/20251220/DataSet 1/VOL00001/IMAGES/0004/EFTA00003048.pdf
- Content Hash
- e53d8dff82c9fe5fe3153c778201de9f
- Created
- Feb 13, 2026